Can acute mastitis continue breastfeeding?

Written by Zhang Wei Wei
Integrative Medicine
Updated on December 23, 2024
00:00
00:00

Acute mastitis is an acute suppurative infection, which can be divided into three stages according to its cause and pathological process: acute inflammatory stage, abscess formation stage, and ulceration stage. Corresponding treatments are applied at each stage. During the acute inflammatory phase, antibiotics such as penicillin should be used to control the progression of inflammation. Once an abscess forms, the main measure is to incise and drain pus in a timely manner, while also taking medicine to clear heat and detoxify. In the ulceration stage, proactive dressing changes and wound cleaning are necessary, along with internal use of heat-clearing and detoxifying medications, and decoctions that promote pus drainage. In principle, breastfeeding should be temporarily halted, and a breast pump should be used regularly to extract milk, ensuring smooth milk flow and preventing stasis. Additionally, wearing a supportive bra can help lift the breasts, and moist heat should be applied to the affected area for 20 to 30 minutes, three to four times a day. Afterwards, the nipples should be cleaned with diluted saltwater. (The use of medications should be conducted under the guidance of a doctor.)

Other Voices

doctor image
home-news-image
Written by Lin Yang
Breast Surgery
52sec home-news-image

Methods for reducing swelling in acute mastitis

Methods for reducing swelling in acute mastitis: First, determine whether the acute mastitis is caused by milk stasis or by bacterial invasion and decreased immune resistance. If it is simply due to milk stasis, nursing can still be continued if the symptoms are mild and the lesion is not severe. However, the affected breast should not be used for nursing, and a breast pump can be used to extract the milk. If the condition is caused by bacteria, it is recommended to apply local moist heat. Penicillin and other saline can be injected around the inflammation. Systemic antibiotics, such as penicillin or cephalosporins, can be used. However, since antibiotics can be secreted into the milk and affect the infant, the use of tetracyclines, aminoglycosides, and sulfa drugs should be avoided.

doctor image
home-news-image
Written by Zhang Chao Jie
Breast Surgery
42sec home-news-image

Which department should I go to for acute mastitis?

For acute mastitis, one should first consult the Department of Mammary Surgery or Thyro-Mammary Surgery. When some hospitals lack a specialized breast surgery department, patients typically consult the general surgery department or gynecology department. If it is during the night or none of the specialized departments are available, then the emergency surgery department should be consulted. Thus, there are multiple relevant departments for acute mastitis. In larger hospitals with specialized departments, one can directly consult the Department of Mammary Surgery or Thyro-Mammary Surgery. During off-hours, nights, weekends, or other emergency periods, it is appropriate to consult the emergency surgery department.

doctor image
home-news-image
Written by Lin Yang
Breast Surgery
34sec home-news-image

What are the symptoms of acute mastitis?

During the onset of acute mastitis, symptoms often include high fever and chills, and the affected breast may enlarge and become firm, with throbbing pain that becomes more apparent during breastfeeding. This is usually accompanied by an increase in local skin temperature, redness and swelling, and tenderness. If the area softens over a short period, an abscess may have formed. If the infection is not controlled, it can lead to systemic infection or sepsis. Patients often have swollen lymph nodes, and blood tests show elevated neutrophil counts in white blood cells.

doctor image
home-news-image
Written by Lin Yang
Breast Surgery
43sec home-news-image

What should I do if acute mastitis bursts?

An acute breast abscess has ruptured, and it should be treated in a formal hospital setting. Under general anesthesia through intravenous administration, the abscess area should be expanded to the normal tissue via an incision. Then, using color ultrasound for abscess localization, to avoid damaging the milk ducts and prevent fistula formation, the incision should follow the direction of the milk ducts, extending radially towards the areola. If there are multiple abscess cavities, the partitions between the cavities should be opened with a finger. If necessary, multiple incisions should be made, or successive operations for drainage of the abscess cavities might be required. Latex sheets or drainage tubes may be used.

doctor image
home-news-image
Written by Lin Yang
Breast Surgery
46sec home-news-image

The causes of acute mastitis

The main causes of mastitis are as follows: First, the accumulation of milk is due to improper breastfeeding techniques or incidental contact with the mammary glands by the child, which causes the milk ducts to close and ultimately leads to the accumulation of milk. Milk is an ideal culture medium that facilitates bacterial growth, leading to mastitis. Second, bacterial invasion occurs when there are cracks or abrasions on the nipple, allowing bacteria to travel along the milk ducts to reach and infect the mammary lobules. Lastly, a decrease in the patient's own immune system can also lead to bacterial infection.